<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20181111041611N8</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-08-07</date_registration>
      <primary_sponsor>Kermanshah University of Medical Sciences</primary_sponsor>
      <public_title>The effect of MIND diet in diabetic patients with insomnia</public_title>
      <acronym></acronym>
      <scientific_title>The effect of MIND (Mediterranean-DASH Intervention for Neurodegenerative Delay) diet pattern on sleep status, anxiety, depression, and cardiometabolic indices in overweight or obese diabetic women with insomnia: A randomized controlled clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-08-19</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>44</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/71772</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The random sequence is generated using the random block method. For random allocation of people, 11 blocks with 4 permutations will be created. The person collecting the information does not know anything about how the samples are assigned to the study groups. In performing the random assignment, the following points are considered: a) Each group is assigned an English letter: A to the low calorie MIND diet group, B to the normal low calorie diet group b) An order for sample size 44 is prepared. c) For the concealment procedure of random assignment, 44 opaque envelopes and 44 cards are prepared. In each envelope, 4 cards are placed in order in each block. The block numbers are written on each envelope. The name of the desired group is written on each card in turn.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Type 2 diabetes.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Receive a low-calorie MIND diet for 3 months. The required energy will be calculated based on the World Health Organization equations and 500 kcal will be deducted from the calculated energy amount. 50-55% of calories come from carbohydrates, 30% from fat and 15-20% from protein, which will be included in 3 meals and 3 snacks. In this dietary pattern, the consumption of green leafy vegetables, other vegetables, berries, nuts, whole grains, fish, beans, chicken and poultry, and olive oil is recommended, while the consumption of butter and stick margarine, cheese, red meat, fried and fast foods, and pastries and sweets is restricted. In this study, due to the  ban on wine, it will be recommended to consume raisins and currants in calculated amounts. Intervention 2: Control group: Receive a low-calorie MIND diet for 3 months. The required energy will be calculated based on the World Health Organization equations and 500 kcal will be deducted from the calculated energy amount. 50-55% of calories come from carbohydrates, 30% from fat and 15-20% from protein, which will be included in 3 meals and 3 snacks.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is There is no further information.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Seyed Mostafa Nachvak</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Isar St, Kermanshah</address>
        <city>Kermanshah</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6719851552</zip>
        <telephone>+98 83 3710 2003</telephone>
        <email>smnachvak@hotmail.com</email>
        <affiliation>Kermanshah University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Seyed Mostafa Nachvak</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Isar St, Kermanshah</address>
        <city>Kermanshah</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6719851552</zip>
        <telephone>+98 83 3710 2003</telephone>
        <email>smnachvak@hotmail.com</email>
        <affiliation>Kermanshah University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Women with type 2 diabetes
Desire to participate in the study
Age range from 30 to 65 years old
Body mass index between 25 and 35 kg/m2
Suffering from insomnia disorder, based on the Insomnia Severity Index (ISI) questionnaire, with scores above 7</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>65 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Insulin use
Pregnancy and lactation
Alcohol and smoking
Sleep apnea
Shift work
Special diets and medications for weight loss in the last 3 months
Suffering from other endocrine, metabolic, kidney and neurological diseases
Taking medications (sedatives, painkillers, sleeping pills, etc.) other than blood sugar, lipid, and blood pressure lowering medications</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E11.6</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Type 2 diabetes mellitus with other specified complications</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Other</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Receive a low-calorie MIND diet for 3 months. The required energy will be calculated based on the World Health Organization equations and 500 kcal will be deducted from the calculated energy amount. 50-55% of calories come from carbohydrates, 30% from fat and 15-20% from protein, which will be included in 3 meals and 3 snacks. In this dietary pattern, the consumption of green leafy vegetables, other vegetables, berries, nuts, whole grains, fish, beans, chicken and poultry, and olive oil is recommended, while the consumption of butter and stick margarine, cheese, red meat, fried and fast foods, and pastries and sweets is restricted. In this study, due to the  ban on wine, it will be recommended to consume raisins and currants in calculated amounts.</i_keyword>
      <i_keyword>Control group: Receive a low-calorie MIND diet for 3 months. The required energy will be calculated based on the World Health Organization equations and 500 kcal will be deducted from the calculated energy amount. 50-55% of calories come from carbohydrates, 30% from fat and 15-20% from protein, which will be included in 3 meals and 3 snacks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Sleep quality. Timepoint: Baseline and End-of-trial. Method of measurement: The Pittsburgh Sleep Quality Index.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Fasting blood sugar. Timepoint: Baseline and End-of-trial. Method of measurement: Enzymatic method.</sec_outcome>
      <sec_outcome>HbA1C. Timepoint: Baseline and End-of-trial. Method of measurement: Photometric method.</sec_outcome>
      <sec_outcome>Insulin. Timepoint: Baseline and End-of-trial. Method of measurement: Elisa.</sec_outcome>
      <sec_outcome>Triglyceride. Timepoint: Baseline and End-of-trial. Method of measurement: Enzymatic method.</sec_outcome>
      <sec_outcome>Total cholesterol. Timepoint: Baseline and End-of-trial. Method of measurement: Enzymatic method.</sec_outcome>
      <sec_outcome>HDL Cholesterol. Timepoint: Baseline and End-of-trial. Method of measurement: Enzymatic method.</sec_outcome>
      <sec_outcome>Brain-derived neurotrophic factor. Timepoint: Baseline and End-of-trial. Method of measurement: Elisa.</sec_outcome>
      <sec_outcome>Hs-CRP. Timepoint: Baseline and End-of-trial. Method of measurement: Elisa.</sec_outcome>
      <sec_outcome>Cortisol. Timepoint: Baseline and End-of-trial. Method of measurement: Elisa.</sec_outcome>
      <sec_outcome>Total Antioxidant Capacity. Timepoint: Baseline and End-of-trial. Method of measurement: Calorimetric method.</sec_outcome>
      <sec_outcome>Total oxidant capacity. Timepoint: Baseline and End-of-trial. Method of measurement: Calorimetric method.</sec_outcome>
      <sec_outcome>GSH-Px. Timepoint: Baseline and End-of-trial. Method of measurement: Calorimetric method.</sec_outcome>
      <sec_outcome>Catalase. Timepoint: Baseline and End-of-trial. Method of measurement: Calorimetric method.</sec_outcome>
      <sec_outcome>SOD. Timepoint: Baseline and End-of-trial. Method of measurement: Calorimetric method.</sec_outcome>
      <sec_outcome>MDA. Timepoint: Baseline and End-of-trial. Method of measurement: Calorimetric method.</sec_outcome>
      <sec_outcome>Quality of life. Timepoint: Baseline and End-of-trial. Method of measurement: 36-Item Short Form Survey.</sec_outcome>
      <sec_outcome>Depression-anxiety-stress. Timepoint: Baseline and End-of-trial. Method of measurement: Depression Anxiety and Stress Scale-21 questionnaire.</sec_outcome>
      <sec_outcome>LDL Cholesterol. Timepoint: Baseline and End-of-trial. Method of measurement: Friedewald.</sec_outcome>
      <sec_outcome>Blood pressure. Timepoint: Baseline and End-of-trial. Method of measurement: Sphygmomanometer.</sec_outcome>
      <sec_outcome>Weight. Timepoint: Baseline and End-of-trial. Method of measurement: Digital scale.</sec_outcome>
      <sec_outcome>Body mass index. Timepoint: Baseline and End-of-trial. Method of measurement: Dividing weight (in kilograms) by the square of height (in meters).</sec_outcome>
      <sec_outcome>Waist circumference. Timepoint: Baseline and End-of-trial. Method of measurement: Tape measure.</sec_outcome>
      <sec_outcome>Hip circumference. Timepoint: Baseline and End-of-trial. Method of measurement: Tape measure.</sec_outcome>
      <sec_outcome>Waist to hip ratio. Timepoint: Baseline and End-of-trial. Method of measurement: Dividing waist circumference (in centimeters) by the hip circumference (in centimeters).</sec_outcome>
      <sec_outcome>Height. Timepoint: Baseline and End-of-trial. Method of measurement: Stadiometer.</sec_outcome>
      <sec_outcome>Waist to height ratio. Timepoint: Baseline and End-of-trial. Method of measurement: Dividing waist circumference (in centimeters) by the height (in centimeters).</sec_outcome>
      <sec_outcome>Insomnia. Timepoint: Baseline and End-of-trial. Method of measurement: Insomnia Severity Index.</sec_outcome>
      <sec_outcome>Insulin sensitivity. Timepoint: Baseline and End-of-trial. Method of measurement: QUICKI formula.</sec_outcome>
      <sec_outcome>Insulin resistance. Timepoint: Baseline and End-of-trial. Method of measurement: HOMA-IR formula.</sec_outcome>
      <sec_outcome>Pancreatic beta cell function. Timepoint: Baseline and End-of-trial. Method of measurement: HOMA-IR formula.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Kermanshah University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-07-30</approval_date>
        <contact_name>Ethics Committee of Kermanshah University of Medical Sciences</contact_name>
        <contact_address>Building No.2, Research Council of Kermanshah University of Medical Sciences, Shahid Beheshti Boulevard, Kermanshah, Iran Kermanshah Kermanshah Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
